文摘
The authors report the case of a 10-year-old girl, whose forensic autopsy revealed a rare deformity of the parietal bones: enlarged parietal foramina. Cause of death was determined to be functional sudden death by inhibition following an accidental hanging. There was no evidence of head trauma. As this was a forensic case, the authors have no knowledge of the subject's medical history. Enlarged parietal foramina were observed first on skull radiographs then during the autopsy. This is a rare, inherited impaired skull development condition. It manifests itself as paired and symmetrical parietal perforations, typically round or oval, with diameters that can range from 5 millimeters to several centimeters. In this case, foramina were nearly round and had a diameter of almost 2 cm. Enlarged parietal foramina, although uncommon, seems to be a necessary knowledge as it could lead to misinterpretations in a forensic case and could help for an identification.